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DR. BOBAN FIDANOSKI DMD
NPI 1669994109
Dentist - General Practice in Marietta, GA

Active since July 15, 2017
1150 WHITLOCK AVE NW, MARIETTA, GA 30064(770) 338-3389 Get Directions Write a Review

NPPES record last updated: January 27, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 27, 2020, Jul 15, 2017 (2 updates tracked since 2017).

About Dr. Boban Fidanoski Dmd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BOBAN FIDANOSKI DMD (NPI 1669994109) is an individual general practice provider in Marietta, Georgia, licensed in Georgia (DN015383) and active in the NPI registry since July 2017.

NPPES Registry Identity

NPI1669994109
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. BOBAN FIDANOSKICredential: DMD
Location Address1150 WHITLOCK AVE NWMarietta, GA 30064-1933
Mailing Address1150 Whitlock Ave NwMarietta, GA 30064-1933 · (770) 338-3389
Phone(770) 338-3389
Sole ProprietorYes
Enumeration DateJuly 15, 2017
Last NPPES UpdateJanuary 27, 20202 updates tracked since enumeration
✔ NPI 1669994109 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in GA · DN015383
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1150 WHITLOCK AVE NW, Marietta, GA 30064
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and more.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FIDANOSKI DENTISTRY, LLC
Clinic/Center (Dental)
1150 WHITLOCK AVE NW
MARIETTA, GA 30064
Cobb County (770) 338-3389

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Boban Fidanoski's NPI number?

The NPI number for Boban Fidanoski is 1669994109. It was assigned to this individual provider in the NPPES registry on July 15, 2017.

Where is Boban Fidanoski located?

Boban Fidanoski practices at 1150 Whitlock Ave NW, Marietta, GA 30064. The listed phone number is (770) 338-3389.

What is Boban Fidanoski's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Boban Fidanoski accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, Humana and Renaissance Dental list Boban Fidanoski as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Boban Fidanoski was last updated on January 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.